“My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic Pain

Background: Chronic pain and body perception disturbance are common following stroke. It is possible that an interaction exists between pain and body perception disturbance, and that a change in one may influence the other. We therefore investigated the presence of body perception disturbance in ind...

Full description

Bibliographic Details
Main Authors: Brendon S. Haslam, David S. Butler, G. Lorimer Moseley, Anthony S. Kim, Leeanne M. Carey
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/10/1331
_version_ 1797474699770331136
author Brendon S. Haslam
David S. Butler
G. Lorimer Moseley
Anthony S. Kim
Leeanne M. Carey
author_facet Brendon S. Haslam
David S. Butler
G. Lorimer Moseley
Anthony S. Kim
Leeanne M. Carey
author_sort Brendon S. Haslam
collection DOAJ
description Background: Chronic pain and body perception disturbance are common following stroke. It is possible that an interaction exists between pain and body perception disturbance, and that a change in one may influence the other. We therefore investigated the presence of body perception disturbance in individuals with stroke, aiming to determine if a perceived change in hand size contralateral to the stroke lesion is more common in those with chronic pain than in those without. Methods: Stroke survivors (N = 523) completed an online survey that included: stroke details, pain features, and any difference in perceived hand size post-stroke. Results: Individuals with stroke who experienced chronic pain were almost three times as likely as those without chronic pain to perceive their hand as now being a different size (OR = 2.895; 95%CI 1.844, 4.547). Further, those with chronic pain whose pain included the hand were almost twice as likely to perceive altered hand size than those whose pain did not include the hand (OR = 1.862; 95%CI 1.170, 2.962). This was not influenced by hemisphere of lesion (<i>p</i> = 0.190). Conclusions: The results point to a new characteristic of chronic pain in stroke, raising the possibility of body perception disturbance being a rehabilitation target to improve function and pain-related outcomes for stroke survivors.
first_indexed 2024-03-09T20:34:50Z
format Article
id doaj.art-4427e2919e634a39a616b16198efc976
institution Directory Open Access Journal
issn 2076-3425
language English
last_indexed 2024-03-09T20:34:50Z
publishDate 2022-09-01
publisher MDPI AG
record_format Article
series Brain Sciences
spelling doaj.art-4427e2919e634a39a616b16198efc9762023-11-23T23:13:43ZengMDPI AGBrain Sciences2076-34252022-09-011210133110.3390/brainsci12101331“My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic PainBrendon S. Haslam0David S. Butler1G. Lorimer Moseley2Anthony S. Kim3Leeanne M. Carey4Neurorehabilitation and Recovery, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne 3010, AustraliaIMPACT in Health, University of South Australia, Kaurna Country, Adelaide 5001, AustraliaIMPACT in Health, University of South Australia, Kaurna Country, Adelaide 5001, AustraliaWeil Institute of Neurosciences, Department of Neurology, University of California, San Francisco, CA 94143, USANeurorehabilitation and Recovery, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne 3010, AustraliaBackground: Chronic pain and body perception disturbance are common following stroke. It is possible that an interaction exists between pain and body perception disturbance, and that a change in one may influence the other. We therefore investigated the presence of body perception disturbance in individuals with stroke, aiming to determine if a perceived change in hand size contralateral to the stroke lesion is more common in those with chronic pain than in those without. Methods: Stroke survivors (N = 523) completed an online survey that included: stroke details, pain features, and any difference in perceived hand size post-stroke. Results: Individuals with stroke who experienced chronic pain were almost three times as likely as those without chronic pain to perceive their hand as now being a different size (OR = 2.895; 95%CI 1.844, 4.547). Further, those with chronic pain whose pain included the hand were almost twice as likely to perceive altered hand size than those whose pain did not include the hand (OR = 1.862; 95%CI 1.170, 2.962). This was not influenced by hemisphere of lesion (<i>p</i> = 0.190). Conclusions: The results point to a new characteristic of chronic pain in stroke, raising the possibility of body perception disturbance being a rehabilitation target to improve function and pain-related outcomes for stroke survivors.https://www.mdpi.com/2076-3425/12/10/1331painstrokechronic painbody perception disturbancebody image
spellingShingle Brendon S. Haslam
David S. Butler
G. Lorimer Moseley
Anthony S. Kim
Leeanne M. Carey
“My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic Pain
Brain Sciences
pain
stroke
chronic pain
body perception disturbance
body image
title “My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic Pain
title_full “My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic Pain
title_fullStr “My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic Pain
title_full_unstemmed “My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic Pain
title_short “My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic Pain
title_sort my hand is different altered body perception in stroke survivors with chronic pain
topic pain
stroke
chronic pain
body perception disturbance
body image
url https://www.mdpi.com/2076-3425/12/10/1331
work_keys_str_mv AT brendonshaslam myhandisdifferentalteredbodyperceptioninstrokesurvivorswithchronicpain
AT davidsbutler myhandisdifferentalteredbodyperceptioninstrokesurvivorswithchronicpain
AT glorimermoseley myhandisdifferentalteredbodyperceptioninstrokesurvivorswithchronicpain
AT anthonyskim myhandisdifferentalteredbodyperceptioninstrokesurvivorswithchronicpain
AT leeannemcarey myhandisdifferentalteredbodyperceptioninstrokesurvivorswithchronicpain